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Individual

BRENT ALFRED WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1354 MILLER REED AVE SE, ATLANTA, GA 30315-2824
(404) 627-2153
(441) 295-7931
Mailing address
PO BOX 45541, ATLANTA, GA 30320-0541
(404) 627-2153
(441) 295-7931

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048005
GA

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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